Wilderness and Travel Medicine: A Complete Wilderness Medicine and Travel Medicine Handbook: Escape, Evasion, and Survival
By Sam Fury
()
About this ebook
This is the Only Wilderness Medicine Book You Need!
Could you save yourself or a loved one when there are no doctors around?
All too often travelers and outdoor enthusiasts get sick, injured, or worse.
Learn how to prevent and cure a wide range of ailments whether at home, abroad, or in the wilderness.
Discover how to heal yourself, because this comprehensive manual has all the information you need.
Get it now.
A Wilderness Medicine Handbook Like No Other
- Diagnoses and treatments for a wide range of injuries and illnesses.
- How to improvise what you need when modern medicine isn't available.
- Pharmaceuticals, medicinal plants, veterinary substitutes, and other alternative remedies.
- Preventative methods so you don't get sick/injured in the first place.
- Safe use and dosage instructions for suggested medications.
- Sample wilderness medicine kit that you can take on a commercial flight.
Information for Each Condition Contains
- A brief description.
- Possible symptoms.
- Appropriate treatment(s) depending on the situation.
- Other supplementary information, e.g., causes, prevention, alternative remedies, complications.
A 2-Part Wilderness Medicine Field Guide
Quickly find what you're looking for in an emergency situation.
Part I is must-read information covering:
- Anatomy: Learn how the body's systems work individually and as a whole. This makes diagnoses easier.
- Prevention Medicine: Prevention is the best cure. Learn how to avoid getting sick and/or injured in the first place.
- First Aid Kit: An inventory and simple explanation of a first aid kit for travelers.
- Medications Guide: Information on the safe use of the medications in this book.
- Immediate First Aid: What to do in life-threatening medical situations.
- Secondary Exam: A secondary exam will help you to make an accurate medical diagnosis.
- Moving a Patient: Safe ways to move a patient.
Part II is diagnoses and treatments. It is uniquely categorized by cause and/or body area to enable quick searching.
- Environmental: Tropical diseases, heat and cold injuries, plants and animals, jetlag, etc.
- Head: Headaches, brain injuries, ears, eyes, and nose infections, dental issues, etc.
- Circulation: Shock, dehydration, diabetes, etc.
- Digestive: Diarrhea, constipation, food poisoning, motion sickness, etc.
- Genitourinary: STI's, pregnancy, UTI's, etc.
- Integumentary: Skin disorders, nail injuries, splinters, etc.
- Musculoskeletal: Sprains, strains, fractures, dislocations, etc.
- Respiratory: Asthma, strep-throat, bronchitis, cold and flu, pneumonia, etc.
... and much more.
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No matter where you go you need this book, because the information inside it saves lives.
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Wilderness and Travel Medicine - Sam Fury
Wilderness And Travel Medicine
A Complete Wilderness Medicine and Travel Medicine Handbook
Sam Fury
Illustrated by
Neil Germio
Edited by
Max JH Powers
SF Nonfiction BooksCopyright SF Nonfiction Books © 2015
Updated 2021 ©
www.SFNonfictionBooks.com
All Rights Reserved
No part of this document may be reproduced without written consent from the author.
Warnings and Disclaimers
The information in this publication is made public for reference only.
Neither the author, publisher, nor anyone else involved in the production of this publication is responsible for how the reader uses the information or the result of his/her actions.
Contents
Introduction
Patient Care
First Aid Kit
PART ONE: MUST-READ INFORMATION
Basic Human Anatomy
Circulatory System
Digestive System
Endocrine System
Immune System
Integumentary System
Genitourinary System
Musculoskeletal System
Nervous System
Respiratory System
Prevention
General Health and Fitness
Personal Hygiene
Vaccinations
Medications Guide
Using the Medications Recommended in This Book
Alternative Remedies Vs Pharmaceuticals
General Safe Use Information for all Medications
Analgesics, Anti-Inflammatory Drugs, and Fever Reducers
Antibiotics
Anti-fungals
Antihistamines
Antiseptics
Antiviral Drugs
Haemostatics
High-Altitude Medications
Motion Sickness, Nausea, and Vomiting
Medicinal Plants
Miscellaneous
Immediate First Aid
Critical First Aid
Assess the Situation
Mental Status: AVPU
Airway
Breathing
Circulation
Severe Bleeding
Nervous System
Anaphylaxis
Heart Attack
Pressure Immobilization Technique
Sucking Chest Wound
Mass Casualty Critical Assessment
Secondary Exam
Recording Your Findings
Physical Exam
History
Vital Signs
Open Wounds, Skin Infections, and Sepsis
Open Wounds
Impaling Objects
Skin Infection and Sepsis
Moving a Patient
Drags
Carries
Improvised Litters
Patient Packing
Non-Rigid Litters
Rigid Litters
PART TWO: DIAGNOSIS & TREATMENTS
ENVIRONMENTALLY INDUCED
Altitude Induced
General Prevention of Altitude-Induced Illnesses
Acute Mountain Sickness (AMS)
HAPE and HACE
HAFE
High-Altitude Pharyngitis and Bronchitis
Peripheral Edema
Animals: Marine
General Treatments
Marine Toxins
Spiny Injuries
Barracuda
Blue-Ringed Octopus
Bristle-Worm
Catfish
Conus
Coral
Jellyfish
Leeches
Moray Eel
Sea Cucumber
Sea Lion
Sea Snake
Sea Urchin
Sharks
Spine Fish
Sponges
Stingray
Weever Fish
Animals: Terrestrial
General Prevention of Animal Attack
Ant Bites
Bed Bugs
Bee/Wasp Sting
Caterpillars
Cat-Scratch Disease
Fleas
Insects: General
Mammalian Bites
Rabies
Mosquitoes
Dengue Fever
Japanese Encephalitis
Malaria
West Nile Virus
Yellow Fever
Cutaneous Myiasis
Mites and Chiggers
Porcupines
Scorpions
Snakes
Pressure-Immobilization Technique
Ticks
Lyme Disease
Rocky Mountain Spotted Fever
Tick Paralysis
Lice
Head Lice
Pubic Lice
Body Lice
Cold and/or Water Induced
Cold Water Immersion
Drowning
Frostbite
Hypothermia
Saltwater Sores
Trench Foot
Diving Induced
Alternobaric Vertigo
Arterial Gas Embolism
Contaminated Breathing Gas
Decompression Sickness
Inner Ear Barotrauma
Mask Squeeze
Nitrogen Narcosis
Hot Tub Folliculitis
Pulmonary Barotrauma
Sinus Squeeze
Tooth Squeeze
Heat and/or Sun Induced
Burns
Heat Edema
Heat Exhaustion
Heat Rash
Heat Stroke
Heat Syncope
Hyponatremia
Miscellaneous Environmental Illnesses
Allergic Reactions
Hay Fever
Carbon Monoxide Poisoning
Jet Lag
Lightning
Radiation Sickness
Smoke Inhalation
Toxic Plants
HEAD
Brain
Acute Stress Reaction
Epidural Hematoma
Increasing Intracranial Pressure
Insomnia
Meningitis
Seizure
Stroke
Traumatic Brain Injury
Headaches And Migraines
Dehydration Headache
Sinus Headache
Tension Headache
Migraines
Ears
External Otitis
Otitis Media
Ear Wax
Foreign Bodies in the Ear
Perforated Eardrum
Eyes
Eye Patching
Foreign Bodies in the Eye
Corneal Abrasion
Acute Angle-Closure Glaucoma
Conjunctivitis
Corneal Erosion
Corneal Ulcer
Displaced Contact Lens
Giant Cell Arteritis
Hyphema
Impaling Object in the Eye
Solar/Ultraviolet Keratitis
Stye
Mouth and Teeth
Toothache
Dental Extraction
Avulsion
Dry Socket
Aphthous Ulcers
Broken or Chipped Tooth
Cold Sores
Condensing Osteitis
Dental Abscess
Fractured Tooth
Gingivitis and Gum Disease
Lost Filling
Luxation
Mandibular Dislocation
Myofascial Dysfunction/Pain
Thrush
Tonsillitis
Nose
Broken Nose
Foreign Body in the Nose
Nosebleed
Raw Nose
Sinusitis
CIRCULATORY SYSTEM
Fainting
Internal Bleeding
Dehydration and Volume Shock
Dehydration
Volume Shock
Rehydration Plan
Diabetes-Related Illnesses
Hypoglycemia
Hyperglycemia
DIGESTIVE SYSTEM
Abdominal Pain
Alcohol Poisoning
Hangovers
Appendicitis
Constipation
Diverticulitis
Food Poisoning
Gas
Heartburn
Hemorrhoids
Hepatitis
Nausea and Vomiting
Peptic Ulcer
Worms
Diarrhea
More Serious than Diarrhea
Dysentery
Salmonella
Typhoid/Paratyphoid Fever
GENITOURINARY SYSTEM
Kidney Infection
Kidney Stones
Prostatitis
Urinary Tract Infections
Vaginal Infections
Bacterial Vaginosis
Pregnancy-Relatated Conditions
Delivery
Hyperemesis Gravidarum
Miscarriage
Pregnancy-Induced Hypertension
Tubal Pregnancy
Sexually Transmitted Infections
Chlamydia
Genital Herpes
Gonorrhea
Pelvic Inflammatory Disease
INTEGUMENTARY SYSTEM
Abscesses
Acne
Blisters and Hot Spots
Bruises
Chickenpox
Eczema
Shingles
Splinters
Fishhooks
Tinea/Ringworm
Athlete’s Foot
Nail Injuries
Nail Avulsion
Ingrown Toenail
Crush Injuries
MUSCULOSKELETAL SYSTEM
Musculoskeletal Injuries in General
Immobilization
Amputations
Backache
Pneumothorax
Tetanus
Dislocations
Reductions
Fractures
Fractured Ribs
Flail Chest
Fractured Pelvis
Sprains and Strains
Sprains
Strains
RESPIRATORY SYSTEM
Asthma
Bronchitis
Cold and Flu
Dry Cough
Pneumonia
Sore Throat
Strep Throat
Whooping Cough
References
Author Recommendations
About Sam Fury
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INTRODUCTION
This book is a comprehensive guide to wilderness and travel medicine. It started out as a personal reference that I could store on my phone while traveling.
Of course, there are many similar books, but I purposefully organized this one in a specific way for easy reference. Also, it contains information on what you can use when pharmaceuticals are not available. This is good for WSHTF scenarios or in foreign countries where you may have to improvise.
I want to stress that this is NOT a replacement for professional training or a doctor’s advice. It is a reference manual and nothing more.
Enhanced Learning
Although this book is jam-packed with information covering a wide variety of field-treatable ailments, no amount of reading can compare to a practical-based medical course taught by a professional medical trainer. A standard first aid course is good, but a wilderness first aid course or higher is better.
How to Use This Book
The information in this book is very multifaceted. Many chapters refer to one another, and these are indicated in the text as Related Chapters.
This book is comprised of two parts:
1. Must Read Information
The first part contains all the background knowledge needed to effectively use the information in this book. It covers the following:
Anatomy. A basic rundown of how the body’s systems work individually and as a whole.
Prevention Medicine. How to avoid getting sick and/or injured in the first place.
Medications Guide. Important information on the safe use of the medications referenced in this book.
Immediate First Aid. Contains the information needed on what to do medically in urgent, life-threatening situations.
Secondary Exam. A secondary exam will help you to make an accurate medical diagnosis.
Moving a Patient. Learn a variety of methods to safely move a patient.
2. Diagnosis and Treatments
This section of the book contains all the information you need to diagnose and treat specific medical problems that are not covered in the Immediate First Aid chapter.
Information for each condition contains:
A brief description of the condition.
Symptoms that may be experienced as a result of the condition.
Appropriate treatment(s) for the condition depending on the situation.
Other supplementary information—e.g., causes, prevention, alternative remedies, and possible complications—may also be included where applicable.
Note: Depending on your situation, many of the treatments may not be viable. Innovate and do the best you can with what you have.
PATIENT CARE
Most of the treatments in this book are described as self-aid, but they can also be used to treat others.
It is important to remember that although you may be trying to help someone, it is ultimately up to them—or an advocate acting on their behalf—as to whether and how you can treat them. If they refuse or object to your help, you should respect their request.
It is also important to explain to patients the full range of options and let them choose which course of action to take. You can give them your recommendations, but it is up to them to make the final choice.
If a patient is medically incompetent or unable to give consent and there is no advocate, whether or not to help them is a decision you will have to make.
FIRST AID KIT
A basic first aid kit is something every traveler should carry. Exactly what you carry in it is dependent on your skills. Also consider if you will want to take it on board a plane since there are some items that will not be allowed.
Here is a sample first aid kit which is safe to have as carry-on luggage as long as the liquids do not exceed the 100-ml limit.
Since most travelers prefer to limit the amount of luggage they have, this sample kit is very minimalist, which means many things will have to be improvised if needed.
Further information about specific items and their use can be found in later chapters.
Adhesive bandages: an assortment of sizes
Amoxicillin/clavulanate, e.g., Augmentin (antibiotic)
Anti-diarrheal, e.g., Imodium
Aspirin (analgesic, anti-inflammatory)
Ciprofloxacin, e.g., Cipro (antibiotic)
Cloth tape
Doxycycline, e.g., Vibramycin (antibiotic)
Diphenhydramine, e.g., Benadryl (antihistamine)
Gauze pads: Preferably sterile
Gloves: Preferably non-latex
Haemostatic, e.g., QuikClot (blood clotting agent)
Hydrocodene (analgesic, strong)
Laxative: preferably natural, e.g., Metamucil
Lip balm
SOAP notes and pencil
Scissors: May not be able to take on board a plane, but if they are small enough, they should pass.
Sunscreen: SPF 30 at a minimum
Tick/splinter kit: Should include small tweezers and mini magnifying glass.
Medications pertinent to your travels, e.g., high-altitude, SCUBA
Personal medications, e.g., allergy/anaphylaxis, asthma, contact lenses
Also consider:
Albuterol, even if non-asthmatic.
Alternate antibiotics in case of allergy or other complication, e.g., pregnancy.
Blister bandages.
Epinephrine auto-injector, e.g., EpiPen, even if no known history of anaphylaxis.
Eye wash, eye drops, and/or antibiotic eye drops.
Oral thermometer.
Roller bandage.
Small LED flashlight.
Triangular bandage(s).
Vet wrap.
Paperwork, e.g., notes from doctor for prescription drugs, first aid notes, inventory, etc.
If you do not trust natural remedies for certain (or all) things, then consider also including:
Acetaminophen (analgesic).
Antacid.
Antifungal.
Antiseptic.
Burn gel.
Decongestant.
Dramamine (motion sickness).
Hand sanitizer.
Ibuprofen (analgesic, anti-inflammatory).
Itch relief.
Insect repellant: DEET 30% maximum or Picaridin.
Triple antibiotic ointment.
Important Notes:
Check your first aid kit regularly for expiration dates and refill any supplies that have been used.
Please read the medications guide chapter before considering the use of any type of medication.
Doctor notes for prescription drugs are recommended.
Related Chapters
Must Read > Medications Guide
Must Read > Secondary Exam
PART ONE: MUST-READ INFORMATION
Basic Human Anatomy
The human body is truly amazing, but it does have its vulnerabilities. Everyone should take the time to learn about the human body in general as well as what it can and can’t do.
A general overview of the body’s main systems and how they work together will help with correct diagnoses and treatments. The body’s systems will also be used in categorizing specific diagnoses and treatments within this book.
CIRCULATORY SYSTEM
WTM 201 BasicHumanAnatomyThe circulatory (cardiovascular) system is made up of the heart and blood vessels (arteries, veins, and capillaries). The heart is like a pump which circulates blood to all the different parts of the body via the blood vessels.
Blood carries oxygen, nutrients, hormones, waste products, etc.
DIGESTIVE SYSTEM
WTM 202 BasicHumanAnatomyAThe main job of the digestive system is to break down food and convert it into nutritional molecules. These molecules are distributed throughout the body via the circulatory system. The digestive system also gets rid of everything that is unused in the form of excrement.
When a bite of food is taken, it marks the beginning of the digestive process. Through chewing and the mixture of saliva, the food is broken down into easily digested pieces. The food is then passed through the throat (larynx) and swallowed down the esophagus into the stomach.
The stomach adds acid and enzymes to the food while mixing and grinding it into a paste-like substance. Next is the small intestine, which uses enzymes from the pancreas and bile from the liver, as well as some help from the gallbladder (the gallbladder concentrates the bile from the liver, mainly by removing the water) to further break down the food and absorb nutrients into the blood stream.
Whatever is left over is then passed to the colon (large intestine). Water is removed, leaving behind mostly food debris and bacteria, i.e., feces. The feces (stool) are stored in a part of the colon called the sigmoid colon. Once the sigmoid colon is full, it is emptied into the rectum. The rectum holds the feces until it is told by the brain that it is okay to empty it. When it is time, the anal sphincters are relaxed and the feces is expelled.
ENDOCRINE SYSTEM
WTM 203 BasicHumanAnatomyThe endocrine system is the main system that coordinates the chemicals within the body. Hormones carry the body’s chemical messages around the body. A gland is a group of cells that produces and secrete these chemicals.
Although nearly all organs and tissues produce their respective systems’ endocrine hormones, the principal endocrine glands are the adrenal, parathyroid, pituitary, and thyroid glands, as well as the gonads and pancreas.
The hypothalamus is a bunch of cells in the lower brain. The brain uses the hypothalamus to communicate with the pituitary gland.
At the base of the brain, just below the hypothalamus, is the pituitary gland. The pituitary gland is made up of two parts: the anterior lobe and the posterior lobe. The anterior lobe produces corticotrophin (stimulates the adrenal gland), growth hormones, prolactin (regulates milk production in mothers), and thyrotropin (stimulates the thyroid gland). It also releases endorphins to the nervous system which decrease feelings of pain, release the hormones which tell the sexual organs to produce sexual hormones, and control ovulation and menstruation in females.
The posterior lobe releases anti-diuretic hormones which help with the balance of water in the body as well as producing oxytocin which triggers uterine contractions during childbirth.
The two adrenal glands also have two parts. The outer part is the adrenal cortex, which produces corticosteroid hormones. The corticosteroid hormones regulate the immune system, metabolism, stress response, sexual development, sexual function, and salt-water balance.
The inner part of the adrenal gland is the adrenal medulla: it produces adrenaline (epinephrine). Epinephrine increases blood pressure and heart rate when the body experiences stress.
The gonads are the main source of sexual hormones. In men, they are the testes, which release androgens such as testosterone. Testosterone regulates puberty in adolescent males and helps communicate to the body when to produce more sperm. In females, the gonads are the ovaries, which produce eggs and release estrogen and progesterone. Estrogen regulates puberty, and both hormones regulate the menstrual cycle and help in pregnancy.
The pancreas produces insulin and glucagon which work together to maintain a steady level of glucose in the blood and keep the body supplied with fuel for creating and storing energy.
The pineal gland is in the brain; it secretes melatonin, which is believed to regulate sleeping patterns.
The thyroid produces the hormones that control the rate at which cells burn fuel from food to produce energy. The more of these hormones there are, the faster the chemical reactions in the body occur.
Attached to the thyroid are the parathyroids, which release the parathyroid hormone. The parathyroid hormone helps to regulate calcium in the blood.
IMMUNE SYSTEM
WTM 204 BasicHumanAnatomyThe immune system helps to protect the body from disease. It identifies pathogens (e.g., viruses), distinguishes them from healthy tissue, and then fights them.
It uses white blood cells (leukocytes) to